HomeMy Public PortalAbout6021 ENCINITA AVE_Plumbing__ J 76^667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
R PERMIT NU.
FOR APPLICANT TO FILL nIN / I/`/ nO
PLUMBER Q• ,,J READY FOR `I'T 7
RECEI Ey D BY FIRSTINSPECTION /DATE ISSUED
ADDRESS
6694r1 59'L 91, Itto_`
((�1 BUILDING
_CITY p! TEL. No. � ADDRESS / 1
EXPIRES"/ LOCALITY
•_: l f
NEAREST
PERMIT FEES CROSS ST.
'NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER / I IIAArW�^r p
WATER CLOSET(TOILET) C.SO S ADDRESS Io,;L yLS
BATH TUB ® O.SO CITY�+VFT ITu4i �lA TEL No.Qt-
SHOWER ® 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT i POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LENS R I AM THE LEGAL OWNER
OF THE RESIDENT PR TY /DgggSCRIBED ABOVE.
GAS SYBTEM OUTLETS a O.SO /
SIGNATURE OF / r. ✓ -
WATER HEATER O.SD U PERMITTE f
SLOP SINK ® 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN @ O.SO
URINAL (it O.SD J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS 9
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT l.Da GAB TEST
UTILITY CO.NOTIFIED
TOTAL FEE 5 a 00 (� / , /•;
FINAL
l
' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL-0508-9709240028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING-ADDRESS:
TR: 5904 LT: 379 BL: .001 - C6021 ENCINITA-AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801935'
ASSESSOR INFORMATION NUMBSER: - NEAREST-CROSS-STREET:
5384-013-023 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
TEN TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
09/24/97 UT 09/24/98
OWNER: TEL. NO: FINAL DATE FINAL. BY: D
PAUL YOLANDA C;PAUL DONALD W - IC /� l
6021 ENCINITA AV / _I 4' ���///
TEMP 917801935 DESCRIPT� WORT
GAS LINE FOR NEW HEATING AND AIR CONA TIONING SYSTEM
APPLICANT: TEL. N0:
DANIELS HEATING & A/C CO. (909) 599-8552-
. SPECIAL CONDITIONS:
LES
CONTRACTOR: TEL. NO: APP OVALS DATE INSPECTOR SIGNATURE
DANIELS HEATING AND AIR (909) 599-8552-
438 W ARROW HWY #10 LIC. NO ®� UNDER SLAB WORK
SAN DIMAS CA 610726 C20
WATCR-SERVI_CE
ARCHITECT OR ENGINEER: TEL. NO: p PLASTIC Y/N METAL Y/N
�7
ROU PL BIRD
LIC. NO: I JW
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��'�'' G S PIPING
GAS VAN
P U B U !'(�(,`p' WO R KS WATER HEATER
p �I
PLUMBING FIXTURES
LAWN SPRINKLERS ..
GAS TEST
n
� J � UTILITY OMPAN NOTI IED
i ^� CWV
�rvi c e ' � GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508